Background: Bad obstetric history (BOH) a common complication pregnancy, defined as 3 consecutive pregnancy losses prior 20 weeks from last menstrual period. Case Presentation: A 33 years old woman, G4P1A3 hasn’t feel fetus movement since 2 weeks ago, didn’t experience blood coming out from her vagina or contraction on her stomach. Patient had miscarriage two times. In her first pregnancy, she experienced blood coming out of her vagina, bright red coloured. The ultrasound examination showed no vital signs in fetus and had to terminate her pregnancy with misoprostol. Conclusion: BOH affecting approximately 15% pregnancies. It is unknown whether miscarriage happened during pregnancy with a normal fetus or not. To diagnose recurrent miscarriage, several steps are taken, namely ensuring that all prerequisite conditions for pregnancy are met, ascertaining the type and cause of recurrent miscarriage, dealing with specific management, empirical therapy, and assisted reproductive technology.
Background Work productivity is important for a company to maximise company performance. Work productivity can be affected by concentration and physical fitness. Concentration is the ability to focus attention on work. Meanwhile, physical fitness is the ability of the body to perform activities without exhaustion. This study was conducted to determine the value of the relationship between concentration, fitness and employees' work productivity. MethodsThis study used a cross-sectional design. The subjects were employees of Cooperative Service Bandung, and the subject selection used non-probability sampling. Army Alpha Test measured concentration. A non-exercise fitness test assessed the level of physical fitness. Work productivity was assessed using a work productivity questionnaire. Data analysis was performed using SPSS version 20 with univariate analysis and bivariate Chi-square test. A total of 130 respondents participated in this study. ResultsThe Chi-square test results showed a significant relationship between concentration level and work productivity (p=0.001) and a relationship between the level of fitness and work productivity (p=0.031). ConclusionsThus concentration and physical fitness lead to work productivity.
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